Tb risk assessment form missouri 2026

1. Click ‘Get Form’ to open the TB Risk Assessment Form in the editor.
2. Begin by entering the patient's name, date of birth, and contact information in the designated fields at the top of the form.
3. In Section A, answer all questions regarding previous TB tests and vaccinations. Select 'Yes' or 'No' for each question.
4. For Section B, check any countries visited that are listed. If applicable, provide additional details such as year of arrival in the U.S.
5. Review Section C for any necessary medical evaluations that may be required based on responses in Section B. Ensure all relevant information is documented.
6. Finally, sign and date the form at the bottom to certify that all information provided is accurate.

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